ELC-16-3458 Miami Shores Village Permit TypeCad-,i0t3iYlmitrlaf
M 10050 N.E.2nd Avenue NE � eti !?: ditiT m/A�9 e a t�O
••'• Miami Shores,FL 33138-0000
�. ,.. Permittatus.-
`n tom° Phone: (305)795-2204
+�YORIDA
.21 #/21 Expiration: 06/26/2017
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Library 1121360000050-03 BARRY UNIVERSITY INC
Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone Cell
BARRY UNIVERSITY INC 11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s) Phone Cell Phone $ 17,491.00
Valuation: F
TIRONE ELECTRIC INC (954)989-7162
__.... _. Total Sq Feet: 0
Type of Work:INSTALL NEW OUTLETS AND POWER FOR F Available Inspections:
Additional Info:INSTALL NEW OUTLETS AND POWER FOR F Inspection Type:
Classification:Commercial
Final
Scanning:3 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W.W.
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $10.80
Invoice# ELC-12-16-62456
DBPR Fee $7.87 12/28/2016 Credit Card $522.27 $50.00
DCA Fee $7.87
Education Surcharge $3.60 12/23/2016 Credit Card $50.00 $0.00
Permit Fee $524.73
Scanning Fee $3.00
Technology Fee $14.40
Total: $572.27
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all t fore g ' information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futh ore,I thor' a above-named contractor to do the work stated.
December 28,2016
Authorized Signature:Owner' / Applicant / Contractor / Agent Date
Building Department Copy
December 28,2016 1
Miami Shores Village
Building Department a �
g p
90050 N.E.2nd Avenue,Miami Shores,Florida 33138 D E C 2 3 2016
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949 :
FBC 2011
BUILDING Permit No. "l
PERMIT APPLICATION Master Permit No.
Permit Type: Electrical
JOB ADDRESS: 11300 NE 2 AVENUE
City: Miami Shores County: Miami Dade Zip: 33161
Folio/Parcel#: 1121360010160-09
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder):BARRY UNIVERSITY INC 91 ���1 y Phone#:
Address: 11300 NE 2 AVENUE
City: MIAMI SHORES State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: TIRONE ELECTRIC INC Phone#: 954-989-7162
Address: 6151 PEMBROKE ROAD
City: HOLLYWOOD State: FL Zip: 33023
Qualifier Name: CURTISS MORGAN Phone#: 954-989-7162
State Certification or Registration#: EC0003059 Certificate of Competency#:
Contact Phone#: 954-989-7162 Email Address: CWMORGAN@TIRONE-ELECTRIC.COM
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$17,491.00 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: Install new outlets&power for fumiture.
�x��xxxx�x�xx�xx���xxxxx�x���x�xxx:x�xx�Fees�:x�x��:x:��:��xxxxxxxx��xx�xxx��xxxxxx�xx�x����
Submittal Fee$ Permit Fee$ ��'K �°� CCF$ CO/CC$
Scanning Fee$�] Radon Fee$ -5 DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$ M a
Double Fee$ "�� Structural Review$
TOTAL FEE NOW DUE$ 52-2. ,
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC.....
OWNER'S AFFEDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a cert' ed copy of the recorded notice of commencement must be posted at the job site
11
for the first inspection which occurs seven (7) day, fter the building permit is issued. In the absence of such posted notice, the
inspection w1l,not be approved and a reinspection fe ill be charged.
Signature Signature
Owner or Agent r%L Contractor
The foregoing instrument was acknowledged before me this CCS The foregoing instrument was acknowledged before me this 15th
day of DREMJE�t,20 ,byday of December ,20_,by CURTISS MORGAN
who is personally known to me or who has produced who�s personally known a or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY LIC: NOTARY PUBLIC:
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
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•••••• 11300 NE 2nd Avenue
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• • • STATE AND COUNTY RULES AND REGULATIONS
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p-1� • ��� 1'$ - Relocate Existing Circuits In The
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FLDDR MOUNTED POWER/ .i 1 i b i k--I --� I ,< I K-� No New Circuits Or Loads Added.
DATA COMBINATION BOX ,
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TRANSITION STRIP
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COVERINGS MATERIAL
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FIGTAILTOFLDDR — CLASSROOM 103 FLOOR PLAN �" Scale : NTS 1 O f 1
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